Pregabalin
Pregabalin is a medicine used to treat epilepsy, fibromyalgia, pain caused by nerve damage, and in generalized anxiety disorder. It is commercially available in capsule, solution, and extended-release tablet. It is a gabapentinoid, and its mode of action is by blocking specific calcium channels.
Recently Answered Questions
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Please suggest the dosage of Pregabalin for fibromyalgia.
Query: Hello doctor, My sister takes 225 mg Pregabalin for fibromyalgia at 7 PM, but it is not giving any relief from pain. She has severe back pain. We tried another 150 mg at 10 PM and the pain reduced fairly. What is the right dose and at what time it should be given? I am attaching her medicine list fo... Read Full »
Rheumatologist
Answer: Hi, Welcome to icliniq.com. Well, if that much dose is not effective in fibromyalgia you ought to change it. I understand she is on Quetiapine and also on Effexor (Venlafaxine). I understand that they started it for depression or bipolar disorder. Well, the other drugs you can consider... Read Full »
What is the treatment for burning arms?
Query: Hello doctor, I am a writer, so I use my computer a lot. Pretty sure I have a repetitive stress injury. My father has Carpal tunnel, so it would not be a surprise at all if I have something similar. The pain is triggered when I type, and more so when I use my trackball. More than anything, my arm b... Read Full »
Fitness Expert, Orthopaedician And Traumatologist, Physiotherapist, Spine Health Specialist
Answer: Hi, Welcome to icliniq.com. Sorry to see that you have persistent symptoms. It is not clear from your description that you actually have any hand symptoms with crampy pain on typing with index thumb and middle fingers most affected as that would fit into a carpal tunnel like picture. If it is ... Read Full »
Why does my back pain worsen on walking?
Query: Hello doctor, I have back pain that gets worse on walking. MRI reports did not show anything abnormal. When I walk, my back gets locked. I have been suffering with back problem since 15 years. I have rash across my face that looks similar to acne filled with pus. My blood reports showed uric acid 7.... Read Full »
Rheumatologist
Answer: Hello, Welcome to icliniq.com. The results do not indicate that you have any particular arthritis. The back pain and other symptoms could be a manifestation of fibromyalgia. It is difficult to tell and may require a more detailed evaluation with the rheumatologist. Some medication like... Read Full »
Can having Cymbalta lead to no sexual drive in a patient with fibromyalgia?
Query: Hi doctor, My girlfriend has fibromyalgia and is currently on Cymbalta and a muscle relaxant. She said she has no desire for sex but it seems she is having sexual dreams. She does not know that she is doing it but it does not make sense to me. When she was on Tramadol, everything was fine unless she... Read Full »
Rheumatologist
Answer: Hello, Welcome to icliniq.com. It is possible that she has no desire or she may be fatigued by the fibromyalgia. Drugs like Cymbalta (Duloxetine) act on neurotransmitters and there is a possibility that they affect a person's emotions and desires. Generally, once the drug goes on for s... Read Full »
Why is my sister having pain in head?
Query: Hello doctor, Kindly go through the MRI report of my sister. She is experiencing pain in head. Thank you. Read Full »
General Practitioner, Orthopaedician And Traumatologist, Spine Health Specialist, Spine Surgeon, Family Physician
Answer: Hi, Welcome to icliniq.com. The MRI scan report (attachment removed to protect patient identity) is of the cervical spine. She has a disc bulge in the cervical spine due to which there will be pain in the neck and the upper limbs. Pain in the upper limbs may or may not be associated with tingli... Read Full »
Query: Hello doctor, I was run over by a car four months ago. I got an MRI and the doctors said all my ligaments and meniscus look fine. However, my kneecap is dented in, slightly swollen above the cap. If I overuse my knee, the whole leg swells. I have been going to wound care doctors for four months fo... Read Full »
Fitness Expert, Orthopaedician And Traumatologist, Physiotherapist, Spine Health Specialist
Answer: Hello, Welcome to icliniq.com. I have seen the films (attachment removed to protect patient identity). With the type of bruising that the first picture shows, it is a miracle that your MRI is normal. The dent on the skin close to the patella is due to fat necrosis and may persist. As far as the pa... Read Full »
Are tingling in hands and legs due to carpal tunnel or ALS?
Query: Hello doctor, I have tingling in my hands for a few years, and now I am feeling tingling off and on in my feet and legs with occasional inner tremors. I had all my blood work done to test for diabetes, thyroid, vitamin deficiency, CMP and CBC all came back normal. I had an MRI of the brain that cam... Read Full »
Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist
Answer: Hi, Welcome to icliniq.com. These symptoms do not look like ALS (amyotrophic lateral sclerosis). Moreover, carpal tunnel syndrome (CTS) has been established in your reports. Anxiety and CTS are more than enough to cause these symptoms. So, my recommendation is that you should start on Pregabalin 7... Read Full »
Query: Hello Doctor, I am a 39 year old male. My height is 6 feet and I weigh 81 kg. Right side of my left foot is having numbness though it is not 100% numb. The left side of the foot has little pain. I get a feeling that there is some blockage in the blood flow though it might not be the case. I am a reg... Read Full »
Orthopaedician And Traumatologist, Spine Surgeon
Answer: Hello, Welcome to icliniq.com. You have mentioned numbness in the inner part of the left foot as your main symptom. Most commonly numbness is a manifestation of a nerve involvement, it can be compression of the nerve at an anatomical site like in back or anywhere along the course of the nerve or it ... Read Full »
Query: Hello doctor, Since 19 months, I have had severe problems with tingling in my feet. This started one week after a 27 km run, where I suddenly got pain in my feet and had to stop. The pain went away, but the tingling started in my left foot one week later. At first, some intermittent buzzing in the o... Read Full »
Neurologist
Answer: Hello, Welcome to icliniq.com. If NCV (nerve conduction velocity) and EMG (electromyography) had been normal, there is possibility can be: Muscle fatigue. Ligament or soft tissue injury pain. Mild neuropraxia due to some soft tissue injury, which is not evident in NCV. Radiculopathy. I would like to... Read Full »
Why makes the bottom of the feet feel swollen?
Query: Hi doctor, I am having issues with my feet. I feel that they are swollen and numb, but they are not swollen and also there is no discoloration. I do not have any chest pain, lightheadedness, dizziness, shortness of breath or any unusual pain and ache anywhere else. This usually happens while sitting... Read Full »
General Practitioner, Orthopaedician And Traumatologist, Spine Health Specialist, Spine Surgeon, Family Physician
Answer: Hi, Welcome to icliniq.com. These symptoms suggest that you are having nerve pain. Nerve pain usually requires some special medications. So, I suggest tablet Pregabalin 75 mg twice daily in the morning and at night for 30 days before food. Continue your B12 vitamin tablets for 30 days. This is a ner... Read Full »
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